Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.69 / $2.31	Facility		$1.57	$1.69	$2.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.69 / $1.90	Professional		$1.57	$1.69	$1.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $2.75 / $6.20	Facility		$1.69	$2.75	$6.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.69 / $1.69	Professional		$1.48	$1.69	$1.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $1.69 / $3.31	Facility		$1.69	$1.69	$3.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $1.59 / $1.69	Facility		$1.59	$1.59	$1.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $1.69	Professional		$1.69	$1.69	$1.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $2.00 / $4.00	Professional		$1.33	$2.00	$4.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $2.22	Professional		$1.69	$1.69	$2.22